Navitus Health Solutions
Healthcare Insurance • Pharmaceuticals • B2B
Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.
Network Contracting Analyst
October 14
Navitus Health Solutions
Healthcare Insurance • Pharmaceuticals • B2B
Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.
📋 Description
• Support the network contracting management division by preparing contracting and strategy analytics, including new contracts and contract renewals • Prepare analyses covering provider agreements, 340B opportunities, mail order, discount card, specialty, and any related needs • Complete complex analysis to monitor the value of contracts and strategic initiatives of Navitus • Prepare forward-looking network analytics, ensuring alignment of planned actions and targets in the forecast • Proactively monitor industry trends including acquisition cost, competitive intel, and innovative program offerings • Support network management leaders in the development and analytical review of quarterly forecasting, annual planning, and multi-year contracting development and multi-year financial modeling • Advise internal stakeholders on strategic fiscal matters related to pharmacy financial management throughout the organization. • Participate in regular meetings with leadership to review financial results and act as an internal consultant on interpreting financial results, analyzing variances and improving contracting performance • Support pharmacy contract negotiations by monitoring and delivering impact analysis of suggested pricing revisions • Support the development of work plans to meet provider and client business priorities and deadlines; collaborating cross-functionally to make effective business decisions; escalating high priority issues and risks as appropriate; and recognizing and capitalizing on network management improvement opportunities • Interface with the Pharmacy Network Analytics team to communicate updated network pricing and network design changes • Other duties as assigned
🎯 Requirements
• Bachelor’s degree in finance, accounting, business, actuarial science or related field is preferred • At least one year of database management experience • Experience in business, finance, or analytics • Experience in Retail Pharmacy and/or Pharmacy Benefit Management (PBM) or Managed Care preferred • Familiarity with the Pharmacy Benefit Management (PBM), contracting and pharmacy industry/technical terms, pricing and processes preferred • Experience with CMS, Medicare, and state Medicaid regulations and guidance preferred • Knowledge of health care processes and pharmaceutical claims adjudication systems preferred • Participate in, adhere to, and support compliance program objectives • The ability to consistently interact cooperatively and respectfully with other employees.
🏖️ Benefits
• Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and Professional Membership assistance • Referral Bonus Program – up to $750!
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